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1780037374
JEANINE JACKSON
NEW BEDFORD, MA
NPI
1780037374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-07-19
Last Update Date
2016-07-19
Business Address
-- JEANINE JACKSON
497 BELLEVILLE AVE
NEW BEDFORD, MA 02746-5432
Phone number: 508-542-3617
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Mailing Address
-- JEANINE JACKSON
497 BELLEVILLE AVE
NEW BEDFORD, MA 02746-5432
Phone number: 508-542-3617
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